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This is VAERS ID 443859

Case Details

VAERS ID: 443859 (history)  
Age: 16.0  
Gender: Female  
Location: Unknown  
Vaccinated:2008-11-01
Onset:0000-00-00
Submitted: 2011-11-28
Entered: 2011-11-29
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Asthenia, Convulsion, Headache, Pain
SMQs:, Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1111USA02284

Write-up: Information has been received from a newspaper which indicated that a mother reported that her 16 year old daughter who 3 years ago (in November 2008), was vaccinated with GARDASIL vaccine (dose and lot # not reported). Subsequently the patient had been debilitated by headache, pains and seizure brought on by the vaccine and could no longer attend school.


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